Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fort Wayne Orthopaedics, LLC

Organization Orthopaedic Surgery Physician · NPI 1104131259

Fort Wayne Orthopaedics, LLC is an Orthopaedic Surgery Physician in Angola, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

306 E Maumee St Ste 304
Angola, IN 46703-2035
Phone: (260) 436-8686
Fax: (260) 436-8585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 50002482 (IN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 50002482 (IN)
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X · Licence 50002482 (IN)
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X · Licence 50002482 (IN)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 50002482 (IN)
Orthopaedic Trauma Physician Taxonomy 207XX0801X · Licence 50002482 (IN)
Podiatrist Taxonomy 213E00000X · Licence 50002482 (IN)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 50002482 (IN)
Physician Assistant Taxonomy 363A00000X · Licence 50002482 (IN)

Record details

NPI number1104131259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerald Cooper — Physician/Owner · (260) 436-8686
Other names Fort Wayne Orthopedics, Llc; Fort Wayne Orthopedics, Llc
NPI enumeratedAugust 13, 2010
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022
Mailing addressPo Box 2526, Fort Wayne, IN 46801-2526

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